IBI Healthcare+ Children and Women by IBI Nightingale

IBI Healthcare+ Children and Women

Global Intelligence. Local Knowledge. www.ibigroup.com

Urban L and

Facilities

Tr ansportation

Intelligent SYSTEMS

gent SYSTEMS

Our Firm Global Intelligence. Local Knowledge. IBI Group is a multi-disciplinary organization offering professional services in four core disciplines: Urban Land, Facilities, Transportation, and Intelligent Systems. IBI Group, through the integration of our four core disciplines, is able to provide a holistic approach toward creating innovative and responsive solutions for our clients in both the public and private sectors. Established in 1974, IBI Group has grown both organically and through strategic acquisitions. Today, the firm has offices located across North America, Europe, the Middle East, Africa and Asia. IBI Group’s offices work together as global virtual studios, which enables efficient communication among team members regardless of their physical location. This system enables the firm to commit the best and most appropriate staff to each project and utilize all resources around the clock and around the world. Collaborating is the key to our success. IBI Group professionals exercise a broad and sophisticated knowledge base that spans urban design and planning, building and landscape architecture, engineering, advanced transportation management and traffic systems, real estate analysis, communications specializations, and software development.

Table of Contents Our vision for Healthcare. . .................................................................... 05 1 Developing Healthcare Strategies.................................................. 07 2 Creating healthcare Environments.................................................11 3 respecting patient’s needs................................................................. 29 4 Driving Design Innovation – THiNK......................................................41

Our Vision for Healthcare Children are very special and deserving of our best care and attention. All children are vulnerable, but even more so when they are sick and in hospital. Womenâ&#x20AC;&#x2122;s health is equally important and pivotal in supporting the whole family. Our vision is to create the best of all possible healing environments, recognizing the patientsâ&#x20AC;&#x2122; emotional and physical needs, and supporting the highest quality medical and nursing care. Modern healthcare for children and women uses the latest technology and is delivered by professionals dedicated to the care of these groups. At IBI Group, we understand this technical and operational complexity and how to design the environments to make the experience less daunting, and where possible enjoyable, for the patient and family. Partners, parents, and siblings form part of this community, defining the culture and providing essential emotional support and distraction. Children can be in hospital for a variety of reasons and prolonged periods of time. Some attend ambulatory clinics for tests and minor procedures; others go to the emergency room but are discharged within hours; some are very sick but still enjoy periods of relative well-being when life must continue as normal. No two children are alike, from babies, to toddlers, to young adults; all have differing levels of physiological and emotional maturity. From the very sick to the nearly-well, each child has different needs. Nor are any two women alike. There are strong emotional barriers between maternity, fertility, and oncology services. Not every delivery is blessed with a health baby; bereavement can be an unfortunate reality. We aim to design our hospitals to make each and every patient special and keep them safe.

IBI Healthcare+ children and women

Developing Healthcare Strategies Our vision is to create the best of all possible healing environments for children and women. The problem is that healthcare is changing rapidly, both with regard to the type of conditions and the ways in which these can be managed. This is having a fundamental impact on the size and shape of every element of the healthcare system from primary care to the major tertiary centre. Gene mapping, ante-natal screening, and better maternal health are producing healthier babies, whilst advances in medicine are enabling us to deliver and care for babies who would not previously have survived beyond birth. Better primary care is resulting in healthier mothers and children less vulnerable to minor ailments. Conditions which would once have taken the patient into hospital have now been eradicated or are treated routinely by the pharmacist or family physician. On the other hand, we are experiencing significant increases in a range of childrenâ&#x20AC;&#x2122;s conditions from autism, to asthma and other allergy related conditions. Earlier diagnosis and better care regimes are enabling the treatment of complex childrenâ&#x20AC;&#x2122;s cardiac, cancer and metabolic conditions. Many of these treatments are at the leading edge of science and technology, actively pushing the boundaries of research and development. Tests and treatments developed and pioneered in the tertiary centre are now routinely managed in local hospitals and even in primary care. Tele-medicine and e-health are facilitating quality assured care across ever larger geographic areas. These are exciting times both for healthcare professionals and those of us working with those professionals to plan services and create the infrastructure and care environments of the future.

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the healthcare environment design concept development clinical planning diagram Hospital Master planning strategic development IBI Pulse, enhancing IBI healthcare

IBI Group

Entrance

Older Adult Ward - Organic / Dementia

Stores / Auto dispenser

Partial Hospital

Ambulatory Care Centre

Pharmacy

Admin CMHT Bases

Main Entrance

Health Maintenance Centre

Older Adult Ward Functional

Elderly Day Hospital

Adult Ward

Retail

OPD

Dining

OPD recep

Generic OPD Cluster

Children

Children & Young People & CAMHS OPD

Generic OPD Cluster

Reception Wait, Admin

Day Cases

Medical DCU

Audiology

SaLT diet

Generic OPD Cluster

Maternity Antenatal Unit

Cardiology

NonClinical Support

Integrated Inpatients

Theatres incl. Recovery

Endoscopy incl. Recovery

Recep / Shared

32 Bed Ward Ward Support

Staff Change & Rest Areas Uniforms

Surgical DCU

32 Bed Ward

32 Bed Ward Shared Ward Support

32 Bed Ward

Outpatient Wait

Theatres & Endoscopy

Midwifery LDRP Suites

child wait

Integrated Therapies Unit

shared

Mental Health Unit

Outpatient Services

Extended LGH: Whole Hospital

Women and Children

Gwent Clinical Futures

Ultrasound

Mobile MRI

X-Ray

32 Bed Ward

Inpatient and Day Case Wait

Viewing & Reporting Areas and Shared Support

Special Procedures

Other Mobile Units

Stores

LEC Entrance & Triage

MAU / major treatment Emergency Short Stay Ward(s)

MAU and Major Treatment

Resus

OOH MI wait

Minor Injuries

expansion space

ocal mergency entre

body store

General Labs Special Lab

Walk-in

Recep / Offices

Imaging

Ambulance

ostgraduate nd Training entre

expansion space

Ambulance Transfers

Support linical and ospital ffices

Mortuary

Stores Receipt & Distribut'n

serves Integrated Care, Local Emergency Centre and Diagnostic & Treatment Unit

Sterile supplies

Shared Ward Support

IBI Healthcare+ children and women – Developing Healthcare Strategies

Healthcare Strategies 6

Structural Mechanical Electrical Civil

Land Planning Urban Design Landscape Design

User Groups & Public Consultation Programming / Clinical

IBI Healthcare Strategy Design

Logistics Process Engineering IT

LEED® Sustainable Design

Clinical Speciality Experts

Ergonomics Evidence Based Medical Planners

IBI Pulse Specialty Consultants

Medical Equipment and IT

In the rapidly changing world of children’s and women’s healthcare, strategy is about understanding the factors which shape the process of change and identifying the best way forward. This should support improvements in the health status of people in the community and deliver the best diagnostic and treatment services as close to home as possible, whilst recognizing the key role of the tertiary academic centre in managing complex care, assuring quality, and driving innovation throughout the whole system. The strategy should support the known service requirements, whilst allowing for the development of new, more beneficial, ways of working, making best use of resources, and fostering an environment which seeks to deliver ever more within those limited resources. Services must be affordable and sustainable. The strategy should recognize the unique expertise of all the healthcare professionals, from clinicians to child life specialists, and the quality benefits of delivering a critical mass of activity. Volume of activity, clinical outcomes, and patient satisfaction are closely related. We value flexibility and always look for approaches which facilitate the development of new ways of working into the future.

Healthcare Service Leaders

Nurses and Physicians

At IBI Group, we offer a range of services in support of healthcare strategy from visioning and service planning, to functional programming and healthcare planning. Healthcare strategy also sits at the heart of our design philosophy. We integrate our quantitative analyses, which ensure that efficient ways of managing care translate into the appropriate functional content and space requirements, with an in-depth understanding of the clinical processes, critical flows, and clinical adjacencies, which underpin the design of the hospital of the future n

IBI Healthcare+ children and women

Creating Healthcare Environments Our firm’s extensive portfolio covers all aspects of pediatric and women’s healthcare including acute, primary, and behavioral mental healthcare schemes, ranging in scale from the smallest to the largest projects. We respond positively to the design challenge in every scheme, listening to our clients’ views and using our extensive clinical expertise with the pediatric and women’s projects to inform and refine their ideas. We are very aware of the drivers that influence healthcare design such as; the appropriate therapeutic patient environment, evidence-based design, LEAN efficiency, future flexibility, infection control, privacy and dignity, and particularly for this vulnerable patient group, safety and security. Working together, we seamlessly incorporate these drivers into our projects to realize the clients’ vision. Good consultation and briefing can be used to support clinical best practice through design. We listen to our clients, working in parallel with our healthcare planners to articulate intelligent, high quality designs with the agility flexibility to respond to future change. Our R&D team, IBI THiNK, champions cutting-edge healthcare design in all its forms and team members have collaborated in the preparation of UK government guidance on optimal pediatric patients environments in both healthcare and educational settings. Cross-sector design experience, gleaned from across our four core disciplines; Architecture, Urban Land, Transportation, Master Planning, and Intelligent Systems, combined with our international presence, enables our clients to benefit from state-of-the-art design innovation to deliver holistic, future proof projects.

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The galleria glass walls reflect the unique color scheme The colorful childrenâ&#x20AC;&#x2122;s hospital atrium family friendly spaces childrenâ&#x20AC;&#x2122;s playground

IBI Group

IBI Healthcare+ children and women – Creating Healthcare Environments

McGill University Health Centre (MUHC), Glen Campus montreal children’s hospital Montreal, QC, can The Montreal Children’s Hospital (MCH) is an international leader in pediatric medicine and the new facility, as part of the Glen Campus Public-Private Partnership (P3) will support the continued development of innovative children’s services. The new MCH maintains its own identity, centred on a dedicated atrium and garden which will be used by Child Life programs, patients, and their families. A color scheme featuring soft hues of yellow, orange, and red glass carries through from the exterior to the interior. The joyful colors, adapted environments, comforting materials, and on-site playground will all contribute to reducing the stress. 3 4

Clinically the new MCH provides a model healing environment for patients – organizing care at the bedside to promote visibility, reducing staff travel times, and increasing time to care for the patient. All single patient rooms have natural light and space to accommodate overnight stay. There are direct adjacencies between critical departments with patient flows being completely separate. The one-stop-shop in pediatric ambulatory sees practitioners come to the patient, eliminating the need for unnecessary movement, whilst standardized room modules permit the flexing of clinic size throughout the day. The technical platform incorporates international best practice design, promoting patient safety and workflow efficiencies n

Client McGill Health Infrastructure Group Role Lead Architect, Interior Designer, L andscape Architecture, and Municipal Approvals Scope / Size $1.3 billion total value / 2.5 million sq.ft. total size Status Substantial Completion anticipated 2014 Firm(S) Beinhaker Architecte Martin, marcotte-beinhaker architects, s.e.w.c. / IBI Group Architects & IBI Nightingale, Groupe IBI-DA A (L andscape Architecture, Municipal Approvals)

1 the new childrenâ&#x20AC;&#x2122;s hospital embraced by parkland 2 the royal liverpool childrenâ&#x20AC;&#x2122;s hospital master plan 3 creating a therapeutic and interactive landscape

IBI Group

IBI Healthcare+ children and women – Creating Healthcare Environments

Royal Liverpool Children’s Hospital Liverpool, UK 3

Royal Liverpool Children’s Hospital is regarded as the largest in Eastern Europe. This is a new concept for a children’s hospital where the landscape is designed as much as the clinical, ward, and visitor facilities. The vision is to renew the existing outdated facilities by creating a children’s health park, providing a new hospital in an attractive and therapeutic environment. This will be achieved by reconfiguring the sites of the hospital and adjoining public park. The design of the landscape will encourage its young users to play, maximizing its physical, social, and mental benefits as well as promoting active lifestyles though informal recreation n

Client Alder Hey Children’s NHS Foundation Trust Role Design of Public Sector Comparator Scheme and Client Advisor during 6 -year bid process Scope / Size £223 million total value, £3 million L andscape Scheme Status IBI taylor young involvement completed 2012 Firm(S) IBI Taylor Young

Princess royal hospital, children & adolescents mental health unit hay wards heath, uk

IBI Group

The award-winning, 18-bed Chalkhill Children and Adolescents Mental Health Unit (CAMHS) creates a positive, supportive, and therapeutic environment for both patients and staff. The design successfully responds to the varying needs of vulnerable children and adolescents with a range of mental health conditions, providing a space that is calming, safe, and non-intuitional. The building is designed to de-stigmatize the mental health environment. The cheerful and child-orientated interiors ensure that everyone feels welcome with comfortable lounge spaces to encourage interaction and socialization between users, aiding rehabilitation. Art is a central theme. Carefully located throughout the unit, it helps to differentiate between therapy, learning, and relaxation zones, making facilities appealing for all age groups. Natural themes and colors connect the interior with the exterior. Bespoke carpets and wallpaper designed by local artists evoke a woodland walk and seaside scenes, stirring the senses and allowing carers to more readily engage with their patients n

Client Sussex Partnership NHS Foundation Trust Role Architect and Interior Designer Scope / Size £5.8 million / 2,725 sq.m. Status Completed October 20 08 Firm(S) IBI Nightingale

IBI Healthcare+ children and women – Creating Healthcare Environments

ROYAL HOSPITAL FOR SICK CHILDREN EDINBURGH, SCOTLAND, UK

Client NHS Lothian Role Reference Designer in collaboration with BMJ Architects Scope / Size £150 million / 48,70 0 sq.m. Status Initial Design completed February 2012 Firm(S) IBI nightingale

The redevelopment of the Royal Hospital for Sick Children (RHSC) and the Department for Clinical Neurosciences (DCN) is to be sited at the existing Edinburgh Royal Infirmary. This standalone facility embraces the core needs of a child, providing facilities for rehabilitation, education, and loved ones. A family hotel provides peace-of-mind for both the young patient and parents / carers, where as specialist clinical provision such as a Children and Adolescents Mental Health Unit (CAMHS), critical care unit and imaging department support the hospital in providing the best pediatric care. The design also includes innovations such as cruciform wards, snoezelen rooms, sense-sensitive design, and single-bed wards n

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the entrance, drenched with daylight and color ex terior spaces for family rela x ation the children’s wards filled with stimulating graphics integrated artwork children’s ex terior play area fun wayfinding children’s graphics

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IBI Healthcare+ children and women – Creating Healthcare Environments

Peterborough city hospital women and children’s hospital peterborough, uk 3 4

Peterborough City Hospital is a 612-bed acute development with a dedicated women and children’s hospital (Peterborough Women and Children’s Hospital). The women’s and children’s facilities are functionally connected to the acute building but, with a reduced scale of two storys, and its own separate entrance, have a more intimate feel. A separate atrium creates a welcoming, familyorientated facility. The colorful interior design acts as an orientation tool and stimulates the senses, making children feel more calm and relaxed. A secure exterior area provides a safe place for play, interaction, and escape – allowing children to undertake everyday recreational activities. Carefully planned adjacencies enable the efficient transfer of young patients to central acute facilities including imaging and theatres, ensuring privacy and dignity as well as short journey times to optimize clinical functionality. An award-winning scheme, the design is based around sustainable principles, promoting children’s access to nature, fresh air, and natural light n

Client Brookfield Multiplex / Peterborough and Stamford Hospitals NHS Foundation Trust Role Master planner, Architect and Interior Designer Scope / Size £250 million / 95,0 0 0 sq.m Status CompleteD October 2010 Firm(S) IBI Nightingale

university hospital coventry PFI women and children’s hospital

IBI Group

coventry, uk University Hospital Coventry is one of the largest hospitals to be procured under the Public-Private Partnership (PFI) model in the UK. Connected to the main acute facility, the Women’s and Children’s Hospital has its own identity and a discrete entrance, a key element of the overall site master planning strategy. The facility provides: a centre for reproductive medicine, pediatric wards, an adolescent unit a dedicated children’s accident and emergency unit and outpatients facilities. Maternity theatres are co-located with the main theatres suite for flexibility and efficiencies in staffing and the design of supporting spaces. Where clinical departments such as imaging are shared, clinical flows have been arranged to ensure patient privacy and dignity n

Client Skanska / Universit y Hospitals Coventry & Warwickshire NHS Trust Role Master planner, Architect, and Interior Designer Scope / Size £350 million pfi value / 135,0 0 0 sq.m. total size Status CompleteD July 20 07 Firm(S) IBI Nightingale

IBI Healthcare+ children and women – Creating Healthcare Environments

Children’s and women’s health centre of British Columbia (C&W) Vancouver, BC, can

Client children’s and women’s health centre of bc / provincial health services authorit y Role Master planner, Architect, and Interior Designer in association with Henriquez Partners Architects Scope / Size 50,0 0 0 sq.ft. Hospital; 24,0 0 0 sq.ft. Clinical support building (compliance architect) Status ongoing Firm(S) IBI Group

The vision for C&W is to enhance the quality of care for children, adolescents, and women. The transformation of this site will culminate in a new acute care centre and a child development and rehabilitation outpatient facility. Whether children enter the hospital through the Ambulatory / Emergency Room or are born in the maternity unit, are diagnosed in a laboratory / teaching space or treated in the NICU, the improved C&W is the haven where the children of BC can be helped and healed, both physically and mentally, and contribute to a Healthy City n

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The interactive children’s play garden a children’s bedroom with inspiring views the south Glasgow hospital plan the children’s atrium the children’s concourse

IBI Group

IBI Healthcare+ children and women – Creating Healthcare Environments

south glasgow children’s hospital Gl asgow, scotl and, uk 4

The South Glasgow Hospital development is one of the most advanced medical campuses in Europe. Its children’s hospital physically connects to the main acute facilities, whilst offering its own entrance and identity. A low-rise building, the exterior approach is easily identifiable and welcoming to children of all ages. From its vibrant central atrium, right through to its flexible, outward facing bedrooms, bright, child-friendly interiors create a fun and lively environment. Integrating the IBI THiNK four-bed bay, privacy and dignity is increased whilst the possibility of cross infection is minimized. Interactive media stimulates play, and the profusion of colors and textures respond to children’s senses. The four-story atrium houses unique services including Radio Lollipop (children’s hospital radio) and a medi-cinema, providing off-ward respite and entertainment for inpatients and their families. In addition, children have direct access to a therapeutic roof garden that is designed to assist with the recovery and sense of wellbeing n

Client Brookfield Multiplex / NHS Greater Glasgow & Clyde Board Role Master planner, Architect, and Interior Designer Scope / Size £840 million total value / 170,0 0 0 sq.m. total Status Completion 2015 Firm(S) IBI Nightingale

Oldham Hospital Women and Children’s Unit

IBI Group

Oldham, UK The Royal Oldham Hospital’s vision was to significantly modernize existing facilities on the site, providing improved maternity and in-patient services for children, young people, and families in Greater Manchester. The new facilities house pediatric care, an acute assessment unit, delivery suites, obstetric theatres, and ante natal and post natal facilities in both a new build and existing refurbished nucleus blocks. The design efficiently uses space to integrate places for play within the circulation zones, engaging young patients and making them feel more comfortable in a hospital environment n

Client Vinci Construction / The Pennine Acute Hospitals NHS Trust Role Architect and BREE AM Assessor Scope / Size £44 million / 12,970 sq.m. total Status Phase 3 Completed 2012 Firm(S) IBI taylor young

IBI Healthcare+ children and women – Creating Healthcare Environments

WOMEN’S COLLEGE hospital Toronto, on, can

Client Women’s College Hospital Role Architect in joint venture with Perkins E astman Black Architects Scope / Size $30 0 million for Phase 1 & 2 / 420,0 0 0 sq.ft. Status Phase 1 completion 2013, Phase 2 completion 2015 Firm(S) IBI Group

This challenging redevelopment will secure the Women’s College Hospital (WCH) position as a world leader in women’s health. The WCH redevelopment involves the construction of a new ambulatory care facility on the existing, fully operational hospital site. The first phase, a state-of-the-art ambulatory building will replace all existing buildings, allowing for the consolidation of most hospital services in one location. This will deliver both operational savings giving a more sustainable, LEAN-designed solution. The new facility will support an entirely new model of advanced care wholly based on ambulatory treatment. This groundbreaking approach will help women live healthier day-to-day lives through prevention and illness management, without requiring overnight hospitalization n

Part of a new ‘super-hospital’, South Glasgow Children’s Hospital provides a holistic environment that supports a young person’s healing.

South Glasgow children’s hospital Gl asgow, scotl and, uk IBI nightingale

IBI Healthcare+ children and women

Respecting Patient’s Needs My rights as a child are … To have someone I love with me whenever possible To be told what is happening to me To ask questions and be given answers I understand To not be alone if I am sad To be able to play even if I have to stay in bed And … That people are honest with me That the people who care for me understand children’s needs That I am safe, that my body is my body That I am respected as a real person with feelings and rights of my own That my well-being is the most important thing And I am part of a family

This poem originally appeared in the journal Maternal & Child Health and is reproduced here with the kind permission of Manakau Health, New Zealand

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the unborn baby the newborn the infant pre-school elementary school high school the adolescent the seven ages of childhood

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IBI Group

photo by Name Here

IBI Healthcare+ children and women – respecting patient’s needs

the seven ages of childhood 2 5

We can only respect the needs of the child if we understand her / him … Children are highly demanding of their immediate environment. They are not really one group but seven, ranging from the baby even before birth, to the newly born baby, the infant, the preschool, elementary and high school children, and the adolescent undergoing that difficult transition to adulthood. An understanding of each group in terms of their physiological, psychological, and sensory development is essential if we are to design services and care environments that impact positively on the healing processes. In the past, some care regimes and environments have actually harmed the long-term health of children, with damage to the eyes, hearing, and respiratory systems of small babies; to the self-esteem and mental health of adolescents. We draw on our extensive knowledge of evidence-based design to create healing environments for children of all ages from the “room like a womb”, delivering constant temperature, attenuated light and sound, and support for neonates, to dedicated chill-out spaces for the moody teenager n

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The pepod, provides visual stimulation aroma impacts behavior graphics inspire and create a sense of place aroma supports therapy color invokes emotion color and light help healing

IBI Group

IBI Healthcare+ children and women – respecting patient’s needs

the five senses and sense-sensitive design Children experience their environments, play, and heal through their five senses. These develop and mature over time. Behavior is a product of the child’s individual characteristics and experience in the context of this neuro-physiological maturation. An understanding of the seven ages of childhood and the related development of the senses enables the designer to create environments that are truly supportive of this complex patient group. The five senses are touch, response to movement in space (vestibular), taste and smell (chemosensory), hearing and vision, and, it is broadly accepted, mature in that order. 3

The senses operate together to help children understand and navigate within their environment. A child’s perception and appreciation of its environment changes significantly over the seven ages of childhood, and in ways that the adult clinician and designer may not fully appreciate. Through extensive research, reviews, and collaborations, over 10 years, the IBI THiNK group have developed sense-sensitive design, a unique design toolkit which enables designers to understand and address these issues.

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Research shows that used sensitively natural light, artificial light, views, art, aroma, modulation of space and form, juxtaposition of furniture, manipulation of scale, proportion and rhythm, together with sound, texture, materials, movement through space and time, can all offer powerful therapeutic benefits to all children within healthcare sittings. We are continually developing this research into evidencebased design to enable us to create the most powerful healing environments for a variety of healthcare settings, for different patient groups and for individual patients ranging from pre-term babies, all the way through to confused and angry adolescents n

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planned treatment rooms integrated educational spaces specialist clinical facilities private bedrooms hi-tech diagnostic services considering every childâ&#x20AC;&#x2122;s needs

IBI Group

IBI Healthcare+ children and women – respecting patient’s needs

Children’s care groups As experienced designers of pediatric healthcare facilities, we believe there are a number of important issues to consider: • An intimate understanding of all the child care groups is essential from emergency care to elective surgery, major procedures, or addressing more complex health problems which may involve frequent hospital visits to long term assessment, treatment, and recovery;

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• A good background knowledge of typical children’s ailments and conditions such as mumps, rubella, measles, diabetes, allergies, skin disorders, respiratory problems, and infection control, etc. will help designers specify and design departments, systems, and materials that are intimately supportive of their relative conditions; • Integration of design and planned flexibility and adaptability is key and vital when addressing such a unique and varied patient group within distinctive childcare settings; • The sensitive issues concerning privacy, dignity, and ultimate security must be a key feature of all care groups; • Designs must respect and differentiate between the individual child care groups understanding short term interventions and long term needs; and

• Successful projects have celebrated good functional interdepartmental relationships. The sensitive juxtaposition of departments and individual spaces is key in the everyday running of these healthcare settings especially in hot departments such as Trauma, ITV, and NICU’s. This ensures that departments work well, as a desirable separation of circulation flows between patients, visitors, and support services is achieved n

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understanding the bond between mother and baby embracing aroma to modif y behavior creating comfortable delivery rooms personalizing a motherâ&#x20AC;&#x2122;s bedroom designing delivery suites using color, tex ture, and form in maternit y spaces

IBI Group

IBI Healthcare+ children and women – respecting patient’s needs

women’s care groups 4

We can only respect the needs of the woman if we understand her … A woman may be in hospital to overcome infertility or facing a life-threatening illness; she may be celebrating the birth of a new baby, or grieving for the loss of her child. These may all draw upon the same clinical expertise, facilities, and technologies to support their care, but it is essential that these client groups are treated separately and in dedicated facilities designed to meet their individual needs. No two women are alike – we understand and respect that n

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play, rela x ation, fresh air, and contemplation sensory spaces to aid therapy and learning creative artwork to inspire tranquil and private living spaces designing for behavioral health

IBI Group

IBI Healthcare+ children and women – respecting patient’s needs

Hidden needs – key issues 3

However well services are planned, clinical processes refined, and user requirements identified, there are always some issues which are often overlooked but can make a real difference. Here are seven of these hidden needs. 1 Understanding the culture, background, and religion of the patient and family – can impact on many aspects of care from diet to the actual treatment itself. 2 Understanding the emotional strains and the incompatibility of one group with another, grieving parents need privacy, gynecology and fertility clinics don’t mix well, and infants can annoy teenagers – and vice-versa. 3 Nutrition is an important ingredient of treatment and not everyone wants to eat at set mealtimes – just like at home. 4 Parents, siblings, and the family offer emotional support and a sense of normality, parents may want to sleep next to the child, and siblings will want to cuddle – and fight, and its not just children who need their family. 5 Play is important to the healing process; exploration can reduce a child’s fear of the unknown, and for children in hospital for prolonged periods, education reinforces normality and helps with recovery. 4 5

6 Bereavement is a sensitive issue, often handled badly, from the actual death itself – the mother may want to get into bed with the child – to the importance of positive memories in the grieving process. 7 Always looking for signs of child harm from non-accidental injuries to more deliberate sexual abuse n

BEDSIDE LOCKER Designed in collaboration with the National Patient Safety Agency this product addresses specific pediatric issues including: infection control, dehydration, loss of belongings, toy therapy, and educational tool storage.

4 cloak tidy Developed in collaboration with Altro International, the Cloak Tidy provides children with a place to store all their personal belongings, avoiding visual and functional clutter. It is simple in design, durable, seamless, easy to install, washable, maintenance free, and address infection control issues.

ambiscene â&#x20AC;&#x201C; immersive environment Supporting our research into sense-sensitive design and in partnership with Phillips, IBI Group helped developed early concepts of Ambiscene, now used in childrenâ&#x20AC;&#x2122;s hospitals worldwide. The system delivers an endless lighting color selection and intensity or tone in Diagnostic Imaging spaces, de-stigmatizing healthcare spaces and calming young patients.

IBI Healthcare+ children and women

Driving Design Innovation – THiNK Our international reputation for thought leadership is underpinned by a strong design research ethos that is supported by the work of IBI THiNK. THiNK is responsible for encouraging, capturing, and developing the intellectual capital vested in IBI Group’s projects, people, and processes. Inspired by the desire to create successful patient-centred environments, the work of THiNK highlights the significant link between research and practice. Its activities encompass innovations in clinical planning, product and furniture design, improvements in environmental design, as well as explaining, through collated evidence and experience, the impact of the built environment on the human condition. Sharing this knowledge with our clients and partners through formal networks, advice, and guidance is an essential element of THiNK. With a reputation for innovation, THiNK has underpinned the firm’s knowledge and understanding of the sensory impact of the built environment on the building user, particularly in healthcare. This knowledge has been furnished with findings from medical and psychological fields, which are then applied to design solutions. As well as supporting our research and industry partners THiNK initiates its own research, funding pilot studies to collate first-hand evidence to help improve the quality, efficiency, and sustainability of the built environment.

1 the bedpod, Pediatric concept 2 the bedpod concept, PROJECT PARTNERS: BILLINGS Jackson design (INDUSTRIAL DESIGNER) AND SAS INTERNATIONAL (MANUFACTURER) 3 the bedpod, privacy and dignit y 4 patient personal effects bag 5 cruciform ward

IBI Group

IBI Healthcare+ children and women – Driving Design Innovation – THiNK

Think – Research and Innovation To challenge the norm, explore new ideas, and push the boundaries of industry knowledge, is an inherent philosophy for our in-house R&D team, THiNK. The process of taking information from other sectors, such as clinical research, and applying that information to design solutions, often provides a holistic way of looking at a recurring problem. For example, BedPod was designed to address privacy and dignity for patients staying in multi-bed accommodation. It is a component based, prefabricated, integrated bed environment for hospitals, offering greater flexibility of space. After successful 1:1 prototype testing, the UK’s Department of Health incorporated BedPod into their Showcase Hospital program for evaluation in use. This will be subject to the THiNK post project evaluation process for further refinement n

THink projects

PePod. A specifically realigned BedPod for pediatric needs. It incorporates features such as: swing down bed for family, mini fridges, integrated education / play therapy storage, and links to hospital radio and opportunities for bed to be swung around 180 degrees to view education and entertainment DVD projections on the surface of the PePod.

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This box feature can be top-aligned or bottom-aligned as shown. • There is a bullet style for information that reads more appropriately as a list.

Patient Personal Effects Bag. Sensitively developed with the Kings Fund and 24 Trusts, this involved addressing the needs of handing over the belongings of a deceased, loved one to a bereaved family member. A neonatal bag is being developed with pediatricians from the UK’s St. George’s Hospital, which involves hand and feet printing, and samples of hair, etc. Cruciform Ward. Developed for the Royal London Hospital Pediatric Department, the four-bed cruciform ward provides a cost-effective and area efficient solution, creating a more informal layout, freeing up extra space for family and educational therapists and addressing needs for patient privacy and dignity, as well as infection control n

Global Intelligence. Local Knowledge. www.ibigroup.com

IBI Group is a market leader in its four core practices — Urban Land, Facilities, Transportation, and Intelligent Systems. Through its integration of these disciplines, IBI Group has been a leader in sustainability for many years.

urban l and L and Use Pl anning Urban Design L andscape Architecture Public Outre ach Re al Estate Rese arch/Economic/Financial Analysis Municipal Engineering L and Engineering Surveying and Mapping Water Resources Management

TRANSPORTATION Transportation Pl anning Traffic Engineering Transit Pl anning and Design Highway Design Bridge Engineering Electrical Engineering Environmental Assessment Construction Administration Intelligent SYSTEMS Intelligent Systems Engineering Sof t ware Communications Engineering Program Management Operations and Maintenance Industrial /Process Engineering

FACILITIES Architecture Mechanical and Electrical Engineering Functional Programming Interior Design Structural Engineering

CANADA EAST USA NORTH EAST CANADA USA ALMA QC EAST BOSTON MA NORTH EAST

QC (2) BOSTON MA BRANTFORD ALMA ON BINGHAMTON NY BRANTFORD ON YORK BINGHAMTON NY HAMILTON ON NEW NY HAMILTON ON NEW YORK NY UNITED KINGDOM EUROPE USA MID WEST USA SOUTH EAST KINGSTON ON PHILADELPHIA PA USA MID WEST USA SOUTH UNITED KINGDOM KINGSTON ON PHILADELPHIA PA EUROPE SOUTHFIELD MI ALEXANDRIA VAEAST BIRMINGHAM UK ANDRESY FR KITCHENER ON SOUTHFIELD MI CORAL ALEXANDRIA BIRMINGHAM UK ANDRESY KITCHENER ON FR SPRINGSVA FL BRIGHTON UK ATHENS GR LONDON ON KNOXVILLE BRIGHTON UK IN LONDON ON ATHENS GR KNOXVILLE TN TN CARDIFF UK DUBLIN MISSISSAUGA ON MAITLAND CARDIFF UK DUBLIN MISSISSAUGA ON MAITLAND FL FL GLASGOW UK PODGORICA ME IE MONTREAL QC POMPANO BEACH GLASGOW UK PODGORICA ME MONTREAL QC POMPANO BEACH FL FL (3) HARWELL UK OTTAWA ON RALEIGH HARWELL UK OTTAWA ON RALEIGH NCNC LIVERPOOL UK CANADA WEST QUEBEC CITY QC SARASOTA CANADA LIVERPOOL UK QUEBEC CITY QC SARASOTA FL FL LONDON UK CALGARYWEST AB RICHMOND HILL ON INDIA CHINA TAMPAFLFL CALGARY ABAB (2) LONDON UK NEW DELHI IN (2) RICHMOND HILL ON CHINA INDIA TAMPA MANCHESTER UK EDMONTON SAGUENAY QC SHANGHAI CN EDMONTON AB AB MANCHESTER UKBENGALURU SAGUENAY QC CN BENGALURU IN BEIJING NEWARK UK FORT MCMURRAY TORONTO ON IN BEIJING CN FORT MCMURRAY AB NEWARK UK (4) TORONTO ON HONG CN NEW DELHI IN ROCHDALE UK VANCOUVER BC WATERLOO ON HONG KONG KONG CN VANCOUVER BC

ROCHDALE UK

WATERLOO ON

SHANGHAI CN

USA SOUTH WEST

USA SOUTH WEST HOUSTON TX HOUSTON TX LAS VEGAS NV LAS VEGAS NV USA WEST

USA WEST BAKERSFIELD CA BAKERSFIELD CA DENVER CO DENVER IRVINE CO CA IRVINE CA LOS ANGELES CA LOS ANGELES CA PARK CITY UT PARK CITY UT PORTLAND OR (2) PORTLAND OR SALT LAKE CITY UT SALT LAKE CITY UT SAN DIEGO CA SAN DIEGO CA SAN LUIS OBISPO CA SAN LUIS OBISPO CA SAN JOSE CA SAN JOSE CA SEATTLE WA SEATTLE WA

CARIBBEAN TRINIDAD TT

MIDDLE EAST ABU DHABI AE BEIRUT LB DUBAI AE JERUSALEM IL

HAITI PORT-AU-PRINCE HT MEXICO

AFRICA

MIDDLE EAST

SOUTH AMERICA CARIBBEAN AFRICA CAPE TOWN RSA MEXICO CITY MX JERUSALEM IS SAO PAULO BR PORT-AU-PRINCE HTBEIRUT CAPE TOWN ZA LB TRINIDAD TT ABU DHABI UAE

MEXICO MEXICO CITY MX

DUBAI UAE

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